The treatment principles of chocolate ovarian cysts are: for young women with small cysts and who want to have children, drug treatment is generally used, with regular follow-up examinations; conservative surgery is used to preserve normal ovaries and reproductive function; for women with severe symptoms, older age, and no desire to have children, the entire uterus, one or both ovaries, and fallopian tubes can be removed. Chocolate Ovarian Cyst Ovarian cysts have five common symptoms: 1. Discomfort in lower abdomen. Due to the weight of the tumor itself and the influence of intestinal peristalsis and posture changes, the tumor moves in the pelvic cavity, involving its pedicle and pelvic infundibulum ligament, causing distension and descent of the lower abdomen or fossa. 2. The abdominal circumference increases and the abdomen is swollen. This is the most common phenomenon in the main complaint. The patient will only notice the enlargement of the abdomen when he realizes that his clothes or belt seem tight, or he will feel it accidentally in the morning. He presses on the abdomen and finds swelling and abdominal distension discomfort. 3. Abdominal pain. For example, the tumors have no complications and pain is rare. Patients with ovarian tumors may experience abdominal pain, especially when it occurs suddenly, which is often caused by torsion of the tumor pedicle, occasionally tumor rupture, bleeding, or infection. Malignant cysts cause mainly abdominal and leg pain. Pain often causes patients to go to the emergency department. 4. Menstrual disorders. Generally, ovarian, or even bilateral ovarian cysts, do not cause menstrual disorders because they do not destroy all normal ovarian tissues. Some uterine bleeding is not endocrine, or it may be due to ovarian tumors changing the pelvic blood vessel distribution, causing endometrial congestion; or it may be due to ovarian malignant tumors directly metastasizing to the endometrium, causing menstrual disorders due to other secretory influences. 5. Compression symptoms. Large ovarian tumors can cause dyspnea and palpitations, and large amounts of ascites can also cause these symptoms; but in some patients with ovarian tumors, dyspnea is caused by effusion in one or both sides of the chest; it is usually combined with ascites to form the so-called Meigs syndrome. |
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